1. Baby R,a 7-day-old full-term female infant, presents with
vomiting, poor feeding, lethargy, jaundice, and hepatomegaly.
Urine is positive for reducing substances but negative for glucose.
Blood glucose is low. Blood glucose -50mg%, Uric acid- 10 mg%,
Lactic acid- 15mmol/L, Plasma cholesterol- 300mg% and .
What is the most likely diagnosis?
A. Neonatal jaundice
B. Classic galactosemia
C. Crigler–Najjar syndrome
D. Hereditary fructose intolerance
22.
2. A 3-day-oldmale infant is brought to the emergency with vomiting,
lethargy, and rapid breathing. Blood tests reveal:
Plasma ammonia: Very high, Blood pH: 7.48, Serum glucose: Normal
No ketone bodies in urine, No acidosis
There is no history of infection or birth trauma. Urine organic acid levels
are normal.
What is the most likely diagnosis?
A. Maple syrup urine disease
B. Diabetic ketoacidosis
C. Ornithine Transcarbamoylase deficiency
D. Galactosemia
23.
3. A 55-year-oldvegetarian man presents with complaints of fatigue, tingling
sensation in his feet, and difficulty in walking. On examination, he has pallor, a
beefy red tongue, and diminished position sense in the lower limbs. Blood tests
show: Hemoglobin: 8.5 g/dL, MCV: 110 fL (macrocytic), Serum B12: 150pg/ml,
Peripheral smear: Hypersegmented neutrophils.
Which of the following metabolic reactions is most likely impaired in this
patient?
A. Conversion of methylmalonyl-CoA to succinyl-CoA
B. Conversion of pyruvate to acetyl-CoA
C. Transamination of alanine to pyruvate
D. Conversion of succinyl-CoA to heme
24.
4. A 3-year-oldboy is brought to the pediatrician due to delayed milestones, aggressive
behavior, and self-mutilation (biting his lips and fingers). His parents report that he
also has orange sandy crystals in the diaper. Lab tests show:
Serum uric acid: 10mg/dl, Neurological signs: Spasticity and dystonia
Which of the following enzyme deficiencies is most likely responsible for his
condition?
A. Adenosine deaminase
B. Hypoxanthine-guanine phosphoribosyltransferase (HGPRT)
C. Galactose-1-P uridyl transferase
D. Glucose-6-phosphatase
25.
5.A 16-year-old girlpresents with hyperextensible skin,
hypermobile joints, and a history of frequent bruising. She also
reports delayed wound healing. Her maternal uncle had died suddenly
of a ruptured aortic aneurysm.
Which of the following biochemical defects is most likely involved
in her condition?
A. Defective hydroxylation of proline and lysine residues in
collagen
B. Deficient glycosylation of collagen
C. Defective cross-linking of collagen fibrils due to lysyl oxidase
deficiency
D. Mutations in collagen genes affecting triple helix structure
26.
6. A 32-year-oldwoman presents for a routine health check-up. She
has no specific symptoms. Her thyroid profile shows the following:
TSH: 7.2 mIU/L (Normal: 0.4–4.0)Free T4: NormalAnti-TPO antibodies:
Positive. Her FBS was found lower than PPBS.
What is the most appropriate interpretation of her thyroid function
tests?
A. Overt hypothyroidism
B. Subclinical hypothyroidism
C. Euthyroid sick syndrome
D. Central hypothyroidism
I am anenzymatic cardiac marker raised after 24 hours of
heart attack and can be found in blood after 8-10 days
I am also found in RBC, brain, liver, skeletal muscle
I am a tetramer
I have 4 other siblings
1
46.
I’m a water-solublevitamin, in high sustained
release dose I can lead to hepatotoxicity
I am a bridge between carbohydrates and ATP, aiding
dehydrogenases in their harvest.
I’m synthesized from an aromatic amino acid.
My deficiency scars the skin and mind, especially
when sunlight strikes.
2
47.
I’m an aminoacid, with a net positive charge at
physiological pH and my presence boosts wound
healing and immune responses.
I become essential for infants and in trauma
and illness
I contribute to a cyclic process crucial for nitrogen
balance.
I contain a guanidine group
3
48.
I’m a hiddenflaw, an enzymopathy, often unnoticed until
challenged by nature or medicine.
Infection, beans, or a bitter pill for malaria may expose
me.
My victims suffer oxidative stress but can’t regenerate a
reducing agent.
I leave behind Heinz bodies and bite cells on a smear.
4
49.
I’m an organelleknown as microbody
My marker enzyme is catalase
I’m involved in very long chain fatty
acid metabolism
I remove unwanted peroxides and free
radicals from the cell
5
50.
I’m a reducingequivalent helping
Oxidoreductases and a part of 2nd
complex of
ETC
I have an isoalloxazine ring
I’m a derivative of Warburg’s yellow enzyme
I can produce 2 ATP in ETC
6
1
1) Name anectoenzyme
2) Reference range of cholesterol
3) Alpha1 antitrypsin is an acute phase protein T/F
4) Primary structure of protein contains sulfide
bridges- T/F
5) Cyanide inhibits which complex of ETC?
6) What is the DNA repair defect in Xeroderma
pigmentosa?
54.
2
1) Reference rangeof AST?
2) Bile salts appear in urine in hemolytic jaundice- T/F
3) Which fraction of HDL-C is bad cholesterol?
4) How much is SDA of protein?
5) Lac Y codes for which enzyme?
6) Iodine number measures--
55.
3
1) UGA codesfor which amino acid?
2) Collagen triple helix has secondary protein structure- T/F?
3) Phrynoderma is a condition seen due to deficiency of?
4) Reference range of serum calcium?
5) Schilling test is done to find out—
6) Most effective blood buffer is--
56.
4
1) RDA ofthiamine (Vitamin B1)?
2) pH of urine is acidic in respiratory acidosis- T/F?
3) Leukotrienes are synthesised by which pathway?
4) What is translocation in translation process?
5) Statin group of drugs inhibit which enzyme?
6) First purine to be produced is--
•A child presentswith failure to thrive, steatorrhea, and ataxia.
Peripheral smear shows acanthocytes. Serum LDL and chylomicrons
are undetectable. Identify the disorder and explain the lipid
abnormality.
•Which is the most common epigenetic mechanism?
Thank you !!!
60.
MetaboLogic
Biochemistry Quiz 2025
Thisis to certify that Mr/Ms------------------------------------------------------participated and won
--------------------------------------position in “MetaboLogic”, Biochemistry Quiz competition
conducted on Dt. 28.06.2025 at KIMS, Bhubaneswar.
Organizing Chairman
Prof. Tapaswini Pradhan
HOD Biochemistry
Organizing Secretary
Prof. Viyatprajna Acharya
Principal
AVM Prof. R.C. Das